| Central venous catheter sepsis in surgical newborns. | |
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MedLine Citation:
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PMID: 12905001 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We examined central venous catheter (CVC) sepsis in newborn surgical patients, as this group appeared to have a higher incidence of this complication. During a 3-year period 79 patients on the surgical service required a tunneled, cuffed, Broviac CVC. Nineteen patients (24% or 9.9 episodes per 1000 catheter days) had proven sepsis and 8 (10% or 1.9/1000 catheter days) had suspected sepsis. An intestinal stoma was definitely related to CVC sepsis ( p<0.001). Other risk factors included lower gestational age, more operations, and younger age at first stoma. Temperature, white blood cell (WBC) count, and platelet count did not correlate with CVC sepsis. We found no better indicator of CVC sepsis than the presentation of an ill child. Certainly temperature, WBC, and platelet count are not reliable indicators. Surgeons have little control over the factors that were found to be related to CVC sepsis. It would appear reasonable from these results to maintain a high index of suspicion in the high-risk groups, to use peripherally inserted central catheters (PIC lines) as the first line of long-term vascular access, and to bring CVCs out of a nonabdominal site, perhaps the scalp, in patients with stomas. |
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Authors:
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Michael D Klein; Kim Rood; Pam Graham |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2003-08-02 |
Journal Detail:
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Title: Pediatric surgery international Volume: 19 ISSN: 0179-0358 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2003 Sep |
Date Detail:
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Created Date: 2003-10-07 Completed Date: 2004-03-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: Germany |
Other Details:
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Languages: eng Pagination: 529-32 Citation Subset: IM |
Affiliation:
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Department of Surgery, Wayne State University School of Medicine and the Children's Hospital of Michigan, 3901 Beaubien Boulevard, Detroit, MI 48201, USA. mklein@dmc.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Catheterization, Central Venous* Female Humans Incidence Infant, Newborn Intensive Care Units, Neonatal Logistic Models Male Risk Factors Sepsis / epidemiology*, microbiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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